Document Detail


3D-FT thin sections MRI of prolactin-secreting pituitary microadenomas.
MedLine Citation:
PMID:  7936179     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We studied 76 patients with endocrinological features of prolactin-secreting microadenoma by MRI, using three dimensional (3D) gradient echo acquisition (FLASH) sequences. MRI revealed a focal signal abnormality in the pituitary in all 37 patients who had not previously taken bromocriptine. However, focal abnormality was shown in only half the patients had been on dopamine agonist therapy; the MRI findings in these 39 patients were not affected by the duration and dosage bromocriptine, nor by the time elapsed since its discontinuation. The microadenoma gave spontaneous high signal on the unenhanced T1-weighted images in 8 cases; it was not seen on unenhanced images in 25 cases. It appeared as low signal within the enhancing gland in 51 cases but enhanced in 7 cases. The 3D technique gives thin (1 mm) slices and therefore facilitates detection of small focal abnormalities in the pituitary gland (2 x 2 mm). In the 19 previously treated patients in whom MRI did not demonstrate a focal abnormality, it showed localised atrophy of the gland in 3, a large, round gland with homogeneous signal in 1, and a heterogeneous appearance in 11; it was normal in 4 cases.
Authors:
N Girard; T Brue; V Chabert-Orsini; C Raybaud; P Jaquet; M Poncet; F Grisoli; S Cahen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neuroradiology     Volume:  36     ISSN:  0028-3940     ISO Abbreviation:  Neuroradiology     Publication Date:  1994 Jul 
Date Detail:
Created Date:  1994-10-26     Completed Date:  1994-10-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  1302751     Medline TA:  Neuroradiology     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  376-9     Citation Subset:  IM    
Affiliation:
Hôpital Nord, Marseille, France.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Bromocriptine / therapeutic use
Female
Humans
Magnetic Resonance Imaging* / methods
Male
Middle Aged
Pituitary Neoplasms / diagnosis*,  drug therapy
Prolactinoma / diagnosis*,  drug therapy
Chemical
Reg. No./Substance:
25614-03-3/Bromocriptine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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